Predictors of Hypertension Remission and Recurrence after Bariatric Surgery

David Benaiges, María Saguéa, Juana A. Flores-Le Roux, Juan Pedro-Botet, José M. Ramón, Montserrat Villatoro, Juan J. Chillarón, Manuel Pera, Antonio Más, Luis Grande, Albert Goday

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39 Citations (Scopus)

Abstract

© American Journal of Hypertension, Ltd 2015. All rights reserved. BACKGROUND: Few data exist on factors associated with hypertension (HTN) remission post-bariatric surgery. No information on factors that may predict HTN relapse is available. The aims were to assess the HTN remission and relapse rates at 1 and 3 years, respectively, post-bariatric surgery, and determine predictive factors. METHODS: A nonrandomized prospective cohort study on severely obese patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG) with a follow-up of 36 months was conducted between 2005 and 2011. Criteria for HTN diagnosis were current treatment with antihypertensive agents and/or systolic blood pressure (BP) >140mm Hg and/or diastolic BP >90mm Hg. HTN remission was defined as normalization of BP maintained after discontinuation of medical treatment. RESULTS: A total of 197 patients were included in the study. HTN was present in 47.7%; 68.1% of hypertensive patients showed HTN remission 1 year after the surgical procedure, 21.9% of whom had relapsed at 3 years. The number of antihypertensive drugs prior to surgery was associated with a lower remission rate at the first year and a higher recurrence at 3 years. However, a smaller weight loss during the first year was associated with increased HTN recurrence at 3 years. CONCLUSION: HTN relapses in 1 of 5 hypertensives who have achieved remission at the first year of follow-up. Weight loss during the first postoperative year should be encouraged to avoid HTN relapse at 3 years.
Original languageEnglish
Pages (from-to)653-659
JournalAmerican Journal of Hypertension
Volume29
Issue number5
DOIs
Publication statusPublished - 1 May 2016

Keywords

  • bariatric surgery
  • blood pressure
  • gastric bypass
  • morbid obesity
  • sleeve gastrectomy hypertension

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